Individual
KAITLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3161 43RD ST S, FARGO, ND 58104-8791
(701) 893-2639
(701) 893-2638
Mailing address
3161 43RD ST S, FARGO, ND 58104-8791
(701) 893-2639
(701) 893-2638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2785
ND
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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